Purpose. To evaluate longitudinal functional and anatomical results after combined pars plana vitrectomy (PPV) and penetrating\nkeratoplasty (PKP) using a wide-field Landers intraoperative temporary keratoprosthesis (TKP) in patients with vitreoretinal\npathology and corneal opacity due to severe ocular trauma. Material and Methods. Medical records of 12 patients who had\nundergone PPV/PKP/KP due to severe eye trauma were analyzed. Functional (best-corrected visual acuity) and anatomic outcomes\n(clarity of the corneal graft, retinal attachment, and intraocular pressure) were assessed during the follow-up (mean 16 months).\nResults. Final visual acuities varied from NLP to CF to 2m.Visual acuity improved in 7 cases, was unchanged in 4 eyes, and worsened\nin 1 eye.The corneal graft was transparent during the follow-up in 3 cases and graft failure was observed in 9 eyes. Silicone oil was\nused as a tamponade in all cases and retina was reattached in 92% of cases. Conclusions. Combined PPV and PKP with the use of\nwide-field Landers TKP allowed for surgical intervention in patients with vitreoretinal pathology coexisting with corneal wound.\nAlthough retina was attached in most of the cases, corneal graft survived only in one-fourth of patients and final visual acuities\nwere poor.
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